When women’s HIV prevention becomes unstable: findings from a longitudinal qualitative study in Sierra Leone
participation, service contact and social support. Analysis of male participants' accounts identified three male partner orientations in relation to women's HIV prevention: protective complicity, dismissive gatekeeping, and fearful avoidance. Structural instability emerged as a useful analytic lens for understanding changing enabling conditions. Prevention programmes may need to protect women's privacy, reduce economic and relationship barriers and keep services accessible, rather than assume one-time behaviour change will last.
Authors
- Ronald Kaluya (ORCID: https://orcid.org/0000-0002-7577-0742)
- Lucy Namulemo (ORCID: https://orcid.org/0000-0003-0594-2956)
- Eric Nzirakaindi Ikoona (ORCID: https://orcid.org/0000-0003-3402-1961)
- Rebecca Ikoona (ORCID: https://orcid.org/0009-0002-9821-9221)
- Foday Sahr (ORCID: https://orcid.org/0000-0001-9816-4502)
Institutions
- Counselling Centre for Children, Adolescents and Parents (SI)
- MUJHU Research Collaboration (UG)
- Public Health Agency (GB)
- Training Programs in Epidemiology and Public Health Interventions Network (US)
Publication Details
- Journal
- Culture Health & Sexuality
- Published
- 2026-07-22
- DOI
- https://doi.org/10.1080/13691058.2026.2706642
- Primary Topic
- Adolescent Sexual and Reproductive Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00